Of course, the therapy depends on the underlying cause. Therefore, no therapy measure can be described that applies to all patients. But there are general behavioural measures that can be helpful in getting faecal incontinence under control.
Optimising bowel behaviour
Getting into the habit of having bowel movements at the same time every day can be extremely helpful. This small change can completely cure at least mild incontinence in many cases. Regular bowel movements can also be supported with suppositories, especially in the first few weeks. After two to three weeks, however, the bowel should have become accustomed to this and it should work perfectly.
Optimising the diet
Of course, the diet should also be optimised. This includes a balanced and healthy diet. Depending on the consistency of the stool, certain foods should be avoided. For example, if the stool is thin, an attempt should be made to change the diet so that a firm stool can be achieved.
Biofeedback therapy for nerve damage
If there is underlying nerve damage, residual nerve activity can be increased by training the sphincter and pelvic floor muscles. In addition, biofeedback therapy can be performed with electrical aids.
Not only when inflammation of the bowel or other underlying diseases are present, can also be treated with medication. This includes not only the therapy of diarrhea, but also the regulation of bowel emptying.
If the defect of the sphincter muscle is the cause of anal incontinence, it can be reconstructed surgically. This often involves taking part of a muscle from the thigh and placing it around the sphincter to strengthen it. Sometimes an inflatable ring can be placed around the muscle, which can be inflated via a balloon in the pubic area to achieve continence.
These are sometimes very complex procedures that can only be performed in specialized clinics. In some cases, however, they can increase the quality of life enormously, which is why these options should not be forgotten.
If faecal incontinence cannot be satisfactorily treated, a number of aids are available today to make everyday life with incontinence easier. These naturally also have the aim of enabling a normal social life. A distinction is made between absorbent aids (pads, pants, diapers) and other aids (adhesive bags, anal tampons).
Sometimes the patient decides together with the doctor that a therapy would be too costly or too risky. This is because mild anal incontinence in particular can be treated very well with the available incontinence aids.